Suchergebnisse

Addisu Dabi Wake,1 Daniel Mengistu Bekele,2 Techane Sisay Tuji1 1Nursing Department, College of Medical and Health Sciences, Arsi University, Asella, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Addisu Dabi Wake Tel +251 910 2867 66Email addansa12@gmail.comBackground: Self-monitoring of blood pressure (BP) among hypertensive patients is an important aspect of the management and prevention of complication related to hypertension. However, self-monitoring of BP among hypertensive patients on scheduled follow-up in hospitals in Ethiopia is unknown. The aim of the study was to assess knowledge and attitude of self-monitoring of BP among adult hypertensive patients.Methods: A cross-sectional survey was conducted on 400 adult hypertensive patients attending follow-up clinics at four public hospitals of Arsi Zone, Oromia Regional State, Ethiopia. The data were collected from patients from March 10, 2019 to April 8, 2019 by face-to-face interview using a pretested questionnaire and augmented by a retrospective patients' medical records review. The data were analyzed using the SPSS version 21.0 software.Results: A total of 400 patients were enrolled into the study with the response rate of 97.6%. The median age of the participants was 49 years (range 23– 90 years). More than half (225 [56.3%]) were male. The majority (160 [40%]) were married and more than two-thirds (282 [70.5%]) were Oromo by ethnic background. About 206 (51.5%) had attended primary education. The proportion of patient's knowledge toward self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients was 31.5% (n=126 [95% CI; 26.5, 36.5]) and 7.75% (n=31 [95% CI; 5.3, 10.5]) respectively. The multivariable logistic regression analysis revealed; higher education (AOR=2.73, 95% CI [1.33, 13.88)], governmental employed (AOR=1.52, 95% CI [1.06, 6.48]), having an income of > 3500 Ethiopian Birr (AOR=2.16, 95% CI [1.56, 7.39]), duration of hypertension > 6 years (AOR=1.87, 95% CI [1.21, 6.37]), having health insurance (AOR=3.56, 95% CI [1.39, 10.53]), having co-morbidities (AOR=3.93, 95% CI [1.35, 10.32]), receiving a health professional recommendation toward self-monitoring of BP (AOR=6.08, 95% CI [2.45, 15.06]), and having an awareness of hypertension-related complication (AOR=3.94, 95% CI [1.34, 11.44]) were factors significantly associated with self-monitoring of BP.Conclusion: In this study, the proportion of knowledge of self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients on follow-up were low. Educational programs on self-monitoring of BP including teaching through demonstration may be needed to be in place.Keywords: blood pressure, self-monitoring of blood pressure, hypertension, knowledge, attitude

BACKGROUND: Self-monitoring of blood pressure (BP) among hypertensive patients is an important aspect of the management and prevention of complication related to hypertension. However, self-monitoring of BP among hypertensive patients on scheduled follow-up in hospitals in Ethiopia is unknown. The aim of the study was to assess knowledge and attitude of self-monitoring of BP among adult hypertensive patients. METHODS: A cross-sectional survey was conducted on 400 adult hypertensive patients attending follow-up clinics at four public hospitals of Arsi Zone, Oromia Regional State, Ethiopia. The data were collected from patients from March 10, 2019 to April 8, 2019 by face-to-face interview using a pretested questionnaire and augmented by a retrospective patients' medical records review. The data were analyzed using the SPSS version 21.0 software. RESULTS: A total of 400 patients were enrolled into the study with the response rate of 97.6%. The median age of the participants was 49 years (range 23–90 years). More than half (225 [56.3%]) were male. The majority (160 [40%]) were married and more than two-thirds (282 [70.5%]) were Oromo by ethnic background. About 206 (51.5%) had attended primary education. The proportion of patient's knowledge toward self-monitoring of BP and the practice of self-monitoring of BP among hypertensive patients was 31.5% (n=126 [95% CI; 26.5, 36.5]) and 7.75% (n=31 [95% CI; 5.3, 10.5]) respectively. The multivariable logistic regression analysis revealed; higher education (AOR=2.73, 95% CI [1.33, 13.88)], governmental employed (AOR=1.52, 95% CI [1.06, 6.48]), having an income of >3500 Ethiopian Birr (AOR=2.16, 95% CI [1.56, 7.39]), duration of hypertension >6 years (AOR=1.87, 95% CI [1.21, 6.37]), having health insurance (AOR=3.56, 95% CI [1.39, 10.53]), having co-morbidities (AOR=3.93, 95% CI [1.35, 10.32]), receiving a health professional recommendation toward self-monitoring of BP (AOR=6.08, 95% CI [2.45, 15.06]), and having an awareness of hypertension-related complication ...

Betelhem Mesfin Demissie,1 Daniel Mengistu Bekele,2 Teshome Habte,2 Addisu Dabi Wake3 1Nursing Department, College of Health Sciences, Woldiya University, Wollo, Amhara Regional State, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 3Nursing Department, College of Health Sciences, Arsi University, Asella, Oromia Regional State, EthiopiaCorrespondence: Addisu Dabi WakeNursing Department, College of Health Sciences, Arsi University, P.O. Box: 193/04, Asella, Oromia Regional State, EthiopiaTel +251 910 2867 66Email addansa12@gmail.comBackground: Heart failure (HF) is a global pandemic affecting individuals globally and is rising in magnitude. Despite the advancement of treatment for HF, the problem continues to cause substantial hospitalization, economic costs, disability, morbidity, and mortality. However, knowledge, attitude, and associated factors towards HF management in Ethiopia were unknown.Objective: To assess knowledge, attitude, and associated factors towards HF management of nurses working in the cardiac unit.Methods: An institution-based cross-sectional survey was conducted on 180 nurses working in a cardiac unit at selected government hospitals in Addis Ababa, Ethiopia. The data were collected from March to April 2020 by self-administered questionnaire. The data were analyzed by using SPSS version 24.0 software.Results: A total of 180 nurses were enrolled into the study with a response rate of 95%. The mean age of the participants was 31 years. The majority (105; 58.3%) were females. About 108 (60%) of them were married and 34 (18.9%) of them were qualified with a MSc in nursing. More than two-thirds (134; 74.4%) of them had ≤ 6 years of work experience. The majority (131; 72.8%) of them have not taken training on the management of HF. The level of a good knowledge and positive attitude towards the management of HF were 30.56% (n = 55; 95% CI: 24.20– 37.50) and 94.4% (n = 170; 95% CI: 90.6– 97.8), respectively. Having a monthly income of > 6700 Ethiopian birr (AOR = 3.20, 95% CI: 2.87– 9.58), master's degree in nursing (AOR = 4.35, 95% CI: 3.42– 14.36), having > 6 years of working experience (AOR = 5.21, 95% CI: 4.41– 15.72), and having training about HF management (AOR = 6.18, 95% CI: 4.76, 15.95) were factors significantly associated with knowledge towards HF management.Conclusion: The level of good knowledge towards HF management was very low, while the level of positive attitude towards HF management was satisfactory. Educational programs and comprehensive training are recommended to take place to improve them.Keywords: knowledge, attitude, heart failure management, heart failure, nurse